| NPI | 1235565979 |
|---|---|
| Doing Business As | COOPER STREET DENTAL |
| Doing Business As | TITAN DENTAL |
| Entity Type | Organization |
| Authorized Contact | MELISSA HERNANDEZ Regional Manager 469-803-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2024-08-01 |